Pregnancy

Question 1

What should be asked in an ante-natal visit?

Answer 1

• Type of antenatal care model
• Establish due date
• History (?low/high risk patient)
  – Previous obstetric histroy
  – Medical histroy
  – reasess medications
  – SNAP
  – 20min on 10min off HR <160
  – dont get overheated, no saunas/spas
  – normal weight gain 12-15kg
  – Toxo/listeriosis advice: foetal mortality is 30 50% (cook food well, no un pasturised cheeses, deli meats, raw
  seafood, prepackaged salads etc.)
  – Travel: avoid air: inter >26wks dom >36wks
• Supplements
• • Iodine
• • Folate
• • Vit D
• • B12
• • Multi >20wks
• Early pregnancy screening
• 1st Trimester screening
• Education/Discussion Pregnancy Symptoms

Question 2

List 5 items that would been discussed during a preconception consult.

Answer 2

• Advice about what to expect & normality
• ?obstetrics insurance
• SNAP (+ drugs & reduce caffeine)
• Supplementation
• Review medical history (?risk factors)
• Review any medications
• Genetic counselling
• Ex: Obs, breast, CST, cardiac status, UA
• Vaccinations/Serology:

Question 3

List 3 vaccinations that should be considered in the pre-natal period.

Answer 3

• MMR
• Varicella
• Influenza
• Boostrix

Question 4

What are the risks of varicella during pregnancy

Answer 4

• To mother: respiratory disease usually (pneumonitis)

- To fetus: congential varicella syndrome or neonatal varicella

Question 5

List 3 symptoms in the 1st Trimester of Pregnancy

Answer 5

Breast Pain/tendereness

Lower abdominal Pain

Question 6

List 3 symptoms in the 2nd Trimester of Pregnancy

Answer 6

Fainting / Palpitations
SOB
Skin changes >16wks

Question 7

List 3 symptoms in the 3rd Trimester of Pregnancy

Answer 7

Reflux
Frequency
Oedema
Leg cramps
Constipation
Anxiety
Pruritis
Symphisis pubis